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Case Reports
. 2023 Jun 16;28(4):144-146.
doi: 10.1016/j.jccase.2023.05.008. eCollection 2023 Oct.

Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement

Akihira Suenaga  1 , Junichi Tazaki  1 , Shojiro Tatsushima  1 , Takanari Fujita  1 , Noriko Hara  1 , Shuhei Tsuji  1 , Takahiro Iseda  1 , Tomoya Kimura  1 , Yuichiro Shibamori  1 , Shinnosuke Nomura  1 , Akinori Yoshida  1 , Miyu Hatamura  1 , Ryo Sakamoto  1 , Shingo Hirao  2 , Naoki Kanemitsu  2 , Mamoru Toyofuku  1
Affiliations
Case Reports

Ruptured mycotic coronary artery aneurysm hybrid treatment with covered stent and surgical debridement

Akihira Suenaga et al. J Cardiol Cases. .

Abstract

We present a case of a ruptured mycotic coronary aneurysm effectively treated with covered stents and phased surgery. The covered stent, however, became occluded two years later. Because of the low invasiveness, a covered stent treatment may be advantageous over conventional surgery but trade off long-term vascular patency.

Learning objective: To recognize the presence of a ruptured infectious coronary aneurysm after a primary coronary stenting for ST-elevation myocardial infarction.To discuss the treatment strategies for a ruptured infectious coronary aneurysm with a covered stent.

Keywords: Covered stents; Mycotic coronary aneurysm; Percutaneous coronary intervention; Phased surgery.

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Conflict of interest statement

Authors declare no conflict of interests.

Figures

Fig. 1
Fig. 1
Coronary angiography on admission with acute myocardial infarction before (A) and after (B) revascularization.
Fig. 2
Fig. 2
Contrast-enhanced computed tomography exhibited a coronary aneurysm in the left anterior descending artery with hemorrhagic pericardial effusion.
Fig. 3
Fig. 3
Coronary angiography before (A, B) and after (C, D) percutaneous coronary intervention with covered stents for a coronary aneurysm in the left anterior descending artery.
See this image and copyright information in PMC

References

    1. Baker D.W., Whitehead N.J., Barlow M. Mycotic coronary aneurysms. Heart Lung Circ. 2020;29:128–136. - PubMed
    1. Torii S., Ohta H., Morino Y., Nakashima M., Suzuki Y., Murata S., et al. Successful endovascular treatment of rupture of mycotic left main coronary artery aneurysm. Can J Cardiol. 2013;29(1014):e7–e9. - PubMed

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